JP2012522834A - Pharmaceutical composition for the treatment or prevention of burn injury - Google Patents
Pharmaceutical composition for the treatment or prevention of burn injury Download PDFInfo
- Publication number
- JP2012522834A JP2012522834A JP2012504572A JP2012504572A JP2012522834A JP 2012522834 A JP2012522834 A JP 2012522834A JP 2012504572 A JP2012504572 A JP 2012504572A JP 2012504572 A JP2012504572 A JP 2012504572A JP 2012522834 A JP2012522834 A JP 2012522834A
- Authority
- JP
- Japan
- Prior art keywords
- tetrafluoro
- benzylamino
- trifluoromethyl
- benzoic acid
- acid
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
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- 230000002265 prevention Effects 0.000 title claims description 13
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- 125000000449 nitro group Chemical group [O-][N+](*)=O 0.000 claims description 6
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- DVQXNGICQNYLDS-UHFFFAOYSA-N 2-methyl-5-[[2,3,5,6-tetrafluoro-4-(trifluoromethyl)phenyl]methylamino]benzoic acid Chemical compound C1=C(C(O)=O)C(C)=CC=C1NCC1=C(F)C(F)=C(C(F)(F)F)C(F)=C1F DVQXNGICQNYLDS-UHFFFAOYSA-N 0.000 claims description 4
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- IUVKMZGDUIUOCP-BTNSXGMBSA-N quinbolone Chemical compound O([C@H]1CC[C@H]2[C@H]3[C@@H]([C@]4(C=CC(=O)C=C4CC3)C)CC[C@@]21C)C1=CCCC1 IUVKMZGDUIUOCP-BTNSXGMBSA-N 0.000 description 1
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- ISIJQEHRDSCQIU-UHFFFAOYSA-N tert-butyl 2,7-diazaspiro[4.5]decane-7-carboxylate Chemical compound C1N(C(=O)OC(C)(C)C)CCCC11CNCC1 ISIJQEHRDSCQIU-UHFFFAOYSA-N 0.000 description 1
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- JOXIMZWYDAKGHI-UHFFFAOYSA-N toluene-4-sulfonic acid Chemical compound CC1=CC=C(S(O)(=O)=O)C=C1 JOXIMZWYDAKGHI-UHFFFAOYSA-N 0.000 description 1
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
- A61K31/19—Carboxylic acids, e.g. valproic acid
- A61K31/195—Carboxylic acids, e.g. valproic acid having an amino group
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P17/00—Drugs for dermatological disorders
- A61P17/02—Drugs for dermatological disorders for treating wounds, ulcers, burns, scars, keloids, or the like
Abstract
本発明は、やけどの治療用の薬学的組成物に関し、特定の化学式で示される化合物またはその薬学的に許容可能な塩または溶媒和物を有効成分として含むことを特徴とする。したがって、本発明は、これらの化合物またはその薬学的に許容可能な塩また溶媒和物を有効成分として含有するやけどの治療用組成物、およびこれらの化合物またはその薬学的に許容可能な塩または溶媒和物をやけどの治療が必要なオブジェクトに投与することを含むやけどの治療方法を提供する。 The present invention relates to a pharmaceutical composition for the treatment of burns, and is characterized by containing a compound represented by a specific chemical formula or a pharmaceutically acceptable salt or solvate thereof as an active ingredient. Accordingly, the present invention provides a therapeutic composition for burns containing these compounds or pharmaceutically acceptable salts or solvates thereof as active ingredients, and these compounds or pharmaceutically acceptable salts or solvents thereof. To provide a method for treating burns including administering a Japanese product to an object in need of burn treatment.
Description
本発明は、やけど(熱傷・火傷)による損傷の治療または予防に有用な薬学的組成物及びやけど(熱傷・火傷)による損傷を治療または予防する方法に関する。 The present invention relates to a pharmaceutical composition useful for the treatment or prevention of damage caused by burns (burns / burns) and a method for treating or preventing burns (burns / burns).
やけどは、主に事故により発生し、原因に応じて、熱によるやけど、電流によるやけど、化学物質によるやけど、放射線によるやけどなどに分類することができる。やけどの重症度は、やけどをした面積の広さ、深さ、やけどを誘発した物体の温度と接触時間、皮膚の状態などに応じて1度、2度、3度と4度のやけどに分かれ、2度のやけどからは傷跡が残し得るため、病院での治療を要する。 Burns are mainly caused by accidents, and can be classified into burns due to heat, burns due to electric current, burns due to chemical substances, and burns due to radiation depending on the cause. The severity of the burn is divided into 1 degree, 2 degrees, 3 degrees and 4 degrees burn according to the size and depth of the burned area, the temperature and contact time of the object that caused the burn, and the skin condition. Two burns can leave scars and require hospital treatment.
1度のやけどは、皮膚が赤くなり、ひりひり感などの痛みを伴う。皮膚層の最も外層である表皮の損傷をもたらし、痛みや紅斑を伴いながら、腫れ上がることもある。数日内に症状がなくなるが、その部位に軽い落屑や色素沈着が残る場合もある。回復後に瘢痕は残らない。日焼けによるやけど(sun burn)の場合は、最も一般的な1度のやけどの例である。 A single burn causes the skin to become red and painful, such as irritation. It may cause damage to the epidermis, the outermost layer of the skin layer, and may swell up with pain and erythema. Symptoms disappear within a few days, but light desquamation and pigmentation may remain in the area. There is no scarring after recovery. Sunburn is the most common example of a single burn.
2度のやけどは表皮と真皮両方に影響を及ぼし、紅斑、痛み、腫れ、そして事故後24時間以内に水ぶくれを生じさせる。このやけどはまた、汗腺や毛穴に影響を及ぼすこともある。自覚的には灼熱感や痛みがひどい。水泡が破れてしまえばびらん面を示し、多量の分泌液が出てくる。やけどを受けた面積が体表面積の約15%以上にいたる場合には特に注意を要する。数週間以内に治癒されるが、その場所に色素沈着や色素脱失が残ることが多い。二次感染を起こせば、局所症状はさらに激しく経過も長続きする。 Two burns affect both the epidermis and dermis, causing erythema, pain, swelling, and blistering within 24 hours after the accident. This burn can also affect sweat glands and pores. Subjectively, burning and pain are severe. If the water bubble breaks, it shows a erosion surface and a large amount of secretion comes out. Care must be taken especially when the burned area reaches about 15% or more of the body surface area. Heals within a few weeks, but pigmentation and depigmentation often remain in the area. If secondary infection occurs, local symptoms become more severe and last longer.
3度のやけどは表皮、真皮、そして皮下まで影響を及ぼすことによって皮膚が黒くなったり、半透明の白になって、皮膚表面のすぐ下の血管を凝固させる。このやけどの部位は感覚がなくなることもがあり得るが、患者は激しい痛みを感じ、皮膚組織と構造が壊死することになって、治療に時間がかかり、後に傷跡が残ることになる。事故後2週間が経過すると、かさぶたが剥がれて潰瘍面が現れる。分泌液が多く、出血しがちであるが、徐々に新しい組織が生じ、表皮が再生され、瘢痕が残って治癒される。皮膚壊死が深い場合、または2次感染を起こした場合、治療が遅れて瘢痕表面が不規則になり、ケロイドができたり、変形や運動障害が残ったりする。やけどをした面積が体表面積の10%以上に及ぶ場合には特に注意を要する。 Third-degree burns affect the epidermis, dermis, and even under the skin, causing the skin to darken or become translucent white, causing the blood vessels just below the skin surface to coagulate. The area of the burn may be numb, but the patient feels severe pain, necrotic skin tissue and structure, which takes time to treat and leaves scars later. Two weeks after the accident, the scab peels off and an ulcer surface appears. Although it has a lot of secretion and tends to bleed, new tissues gradually form, the epidermis regenerates, and scars remain and heal. When skin necrosis is deep or secondary infection occurs, treatment is delayed and the surface of the scar becomes irregular, causing keloids, deformation, and movement disorders. Special care is required when the burned area is 10% or more of the body surface area.
4度のやけどは、やけどを受けた部位の組織が炭化して黒く変化した場合であり、皮膚層の下にある脂肪層、靭帯、筋膜、筋肉、骨組織などまでやけどをした場合をいう。高圧電気によるやけどで主に発生し、場合によっては深在性2〜3度のやけどで、菌の感染が発生した場合に生じることがある。やけどの範囲が20%以上の場合、全身的な身体反応が起こり得るが、過度な体液の損失に伴う低血圧、ショック、急性腎不全などが生じ得、のちに傷の感染症や肺炎、敗血症、多発性臓器機能不全症候群などが発生することもある。 A fourth-degree burn is a case where the burned tissue has been carbonized and turned black, and it has burned to the fat layer, ligament, fascia, muscle, bone tissue, etc. under the skin layer. . It is mainly caused by burns caused by high-voltage electricity, and in some cases, it may occur when bacteria are infected with a deep burn of 2 to 3 degrees. If the burn range is 20% or more, a systemic physical reaction may occur, but hypotension, shock, acute renal failure, etc. associated with excessive fluid loss may occur, followed by wound infection, pneumonia, sepsis Multiple organ dysfunction syndrome may occur.
やけどの治療は、できるだけ早く、初期やけどの創傷を治癒したり、やけどの部位を減らすことが重要である。初期やけどの患部ドレッシングで感染症や炎症の調節、湿潤環境の維持、皮膚の再生を助ける成長因子やサイトカインの投与、局所的なヘパリンの使用等による深部やけどへの転換を防止する初期治療が強調されている。 When treating burns, it is important to heal early burn wounds or reduce the number of burns as soon as possible. The initial burn dressing is used to control infection and inflammation, maintain a moist environment, administer growth factors and cytokines that help regenerate the skin, and use local heparin to prevent the transition to deep burns. Has been.
これらのやけどによる損傷の深刻性を考慮すると、やけどによる損傷の治療または予防に有用な治療薬が開発される場合、やけど患者の治療、状態の改善および傷跡の減少に大いに役立つだろう。 Given the severity of these burn injury, if therapeutics are developed that are useful in the treatment or prevention of burn injury, it will be of great help in treating burn patients, improving their condition and reducing scars.
したがって、本発明が成し遂げようとする技術的課題は、やけどによる損傷の治療または予防に有用な薬学的組成物及びこのような組成物の医学的な用途を提供することである。 Thus, the technical problem that the present invention seeks to achieve is to provide a pharmaceutical composition useful for the treatment or prevention of burn injury and the medical use of such a composition.
前記の技術的課題を達成するために、本発明は下記の化学式1で表されるテトラフルオロベンジル(tetrafluorobenzyl)誘導体またはその薬学的に許容可能な塩を含むことを特徴とするやけどの治療または予防用薬学的組成物を提供する。 In order to achieve the above technical problem, the present invention comprises a tetrafluorobenzyl derivative represented by the following chemical formula 1 or a pharmaceutically acceptable salt thereof, or treatment or prevention of burns: Pharmaceutical compositions for use are provided.
上記の化学式1において、
上記の化学式1において、R1、R2、及びR3はそれぞれ独立して水素またはハロゲンであり;
R4はヒドロキシ、アルキル、アルコキシ、ハロゲン、ハロゲンで置換されたアルコキシ、アルカノルオキシまたはニトロであり;
R5は、カルボン酸、アルキル基で置換されたカルボン酸、カルボン酸アミド、スルホン酸、ハロゲンまたはニトロである。
In the above chemical formula 1,
In Formula 1 above, R 1 , R 2 , and R 3 are each independently hydrogen or halogen;
R 4 is hydroxy, alkyl, alkoxy, halogen, alkoxy substituted with halogen, alkanoloxy or nitro;
R 5 is a carboxylic acid, a carboxylic acid substituted with an alkyl group, a carboxylic acid amide, a sulfonic acid, halogen or nitro.
すなわち、本発明は、やけどによる損傷の治療または予防のため、上記のテトラフルオロベンジル誘導体及びその薬学的に許容可能な塩または溶媒和物の薬学的組成物および医薬用途を提供する。 That is, the present invention provides a pharmaceutical composition and a pharmaceutical use of the above tetrafluorobenzyl derivative and a pharmaceutically acceptable salt or solvate thereof for the treatment or prevention of burn injury.
上記の化学式1で、アルキルは、炭素数1ないし5のアルキルであることが好ましく、炭素数1または3のアルキルであることがより望ましい。具体的には、上記のアルキルはメチル、エチル、プロピル、イソプロピル、ブチル、2次‐ブチル及び3次‐ブチル基が望ましいが、これらに限定されるものではない。アルコキシは炭素数1ないし5のアルコキシであることが好ましく、炭素数1または3であるアルコキシであることがより望ましい。具体的には、上記のアルコキシはメトキシ、エトキシ、プロトキシ基が望ましいが、これらに限定されるものではない。ハロゲンはフッ素、塩素、臭素及びヨードであることが望ましいが、これらに限定されるものではない。アルカノイル(alkanoyl)は、炭素数2〜10のアルカノルであることが好ましく、炭素数2または5のアルカノルであることがより望ましい。具体的には、上記のアルカノルとしてはエタンノイル(ethanoyl)、プロパノイル(propanoyl)、およびシクルロヘクサンカルボニル(cyclohexancarbonyl)が望ましいが、これらに限定されるものではない。アルカノルオキシは、炭素数1ないし4のアルカノルオキシであることが望ましい。 In the above chemical formula 1, alkyl is preferably alkyl having 1 to 5 carbon atoms, more preferably alkyl having 1 or 3 carbon atoms. Specifically, the alkyl is preferably a methyl, ethyl, propyl, isopropyl, butyl, secondary-butyl or tertiary-butyl group, but is not limited thereto. Alkoxy is preferably alkoxy having 1 to 5 carbon atoms, more preferably alkoxy having 1 or 3 carbon atoms. Specifically, the above alkoxy is preferably a methoxy, ethoxy or protooxy group, but is not limited thereto. Halogen is preferably fluorine, chlorine, bromine and iodine, but is not limited thereto. The alkanoyl is preferably an alkanol having 2 to 10 carbon atoms, and more preferably an alkanol having 2 or 5 carbon atoms. Specifically, as the above-mentioned alkanol, ethanenoyl, propanoyl, and cyclohexancarbonyl are preferable, but not limited thereto. The alkanoloxy is preferably an alkanoloxy having 1 to 4 carbon atoms.
前記の化学式1で表されるテトラフルオロベンジル誘導体の好ましい例は2‐ヒドロキシ‐5‐(2,3,5,6‐テトラフルオロ−4−トリフルオロメチル‐ベンジルアミノ)‐安息香酸(2‐Hydroxy‐5‐(2,3,5,6‐tetrafluoro‐4‐trifluoromethyl−benzylamino)−benzoicacid)(以下、「2‐hydroxy‐TTBA」とする)、2‐ニトロ‐5‐(2,3,5,6‐テトラフルオロ‐4‐トリフルオロメチル‐ベンジルアミノ)‐安息香酸(2‐Nitro‐5‐(2,3,5,6‐tetrafluoro‐4‐trifluoromethyl‐benzylamino)‐benzoicacid)、2‐クロロ‐5‐(2,3,5,6‐テトラフルオロ‐4‐トリフルオロメチル‐ベンジルアミノ)‐安息香酸(2‐Chloro‐5‐(2,3,5,6‐tetrafluoro‐4‐trifluoromethyl‐benzylamino)‐benzoicacid)、2‐ブロモ‐5‐(2,3,5,6‐テトラフルオロ‐4‐トリフルオロメチル‐ベンジルアミノ)‐安息香酸(2‐Bromo‐5‐(2,3,5,6‐tetrafluoro‐4‐trifluoromethyl‐benzylamino)‐benzoicacid)、2‐ヒドロキシ‐5‐(2,3,5,6‐テトラフルオロ‐4‐メチルベンジルアミノ)‐安息香酸(2‐Hydroxy‐5‐(2,3,5,6‐tetrafluoro‐4‐methyl‐benzylamino)‐benzoicacid)、2‐メチル‐5‐(2,3,5,6‐テトラフルオロ‐4‐トリフルオロメチル‐ベンジルアミノ)‐安息香酸(2‐Methyl‐5‐(2,3,5,6‐tetrafluoro‐4‐trifluoromethyl‐benzylamino)‐benzoicacid)、2‐メトキシ‐5‐(2,3,5,6‐テトラフルオロ‐4‐トリフルオロメチル‐ベンジルアミノ)‐安息香酸(2‐Methoxy‐5‐(2,3,5,6‐tetrafluoro‐4‐trifluoromethyl‐benzylamino)‐benzoicacid)または、5‐(2,3,5,6‐テトラフルオロ‐4‐トリフルオロメチル‐ベンジルアミノ)‐2‐トリフルオロメトキシ安息香酸(5‐(2,3,5,6‐Tetrafluoro‐4‐trifluoromethyl‐benzylamino)‐2‐trifluoromethoxybenzoicacid)を含むが、これらに限定されるものではない。 A preferred example of the tetrafluorobenzyl derivative represented by Formula 1 is 2-hydroxy-5- (2,3,5,6-tetrafluoro-4-trifluoromethyl-benzylamino) -benzoic acid (2-Hydroxy). -5- (2,3,5,6-tetrafluoro-4-benzoylamino) -benzoicacid) (hereinafter referred to as “2-hydroxy-TTBA”), 2-nitro-5- (2,3,5, 6-tetrafluoro-4-trifluoromethyl-benzylamino) -benzoic acid (2-Nitro-5- (2,3,5,6-tetrafluoro-4-benzoylamino) -benzoicacid), 2-chloro-5 -(2,3,5,6-tetrafluoro -4-trifluoromethyl-benzylamino) -benzoic acid (2-Chloro-5- (2,3,5,6-tetrafluoro-4-benzoylamino) -benzoicacid), 2-bromo-5- (2, 3,5,6-tetrafluoro-4-trifluoromethyl-benzylamino) -benzoic acid (2-Bromo-5- (2,3,5,6-tetrafluoro-4-benzoylamino) -benzoicacid), 2 -Hydroxy-5- (2,3,5,6-tetrafluoro-4-methylbenzylamino) -benzoic acid (2-Hydroxy-5- (2,3,5,6-tetrafluoro-4-methyl-benzylamino) -Benzoi acid), 2-methyl-5- (2,3,5,6-tetrafluoro-4-trifluoromethyl-benzylamino) -benzoic acid (2-Methyl-5- (2,3,5,6-tetrafluoro) -4-trifluoromethyl-benzylamino) -benzoicacid), 2-methoxy-5- (2,3,5,6-tetrafluoro-4-trifluoromethyl-benzylamino) -benzoic acid (2-Methoxy-5- (2 , 3,5,6-tetrafluoro-4-trifluoromethyl-benzylamino) -benzoicacid) or 5- (2,3,5,6-tetrafluoro-4-trifluoromethyl-benzylamino) -2-trifluoromethoxybenzoic acid Acid (5- (2,3,5,6-Tet afluoro-4-trifluoromethyl-benzylamino) -2-trifluoromethoxybenzoicacid) including, but not limited thereto.
本発明において、やけどは一般的に熱によって、皮膚細胞が破壊されたり壊死される現象を言い、例えば、火災による炎やけど、熱い液体(水、油など)による熱湯やけど、高温の物体(電気アイロン、炊飯器等)の接触による接触やけど、強酸、強アルカリ等による化学やけど、その他の夏の強い紫外線による日焼けや、放射線およびX線露光による放射線やけどを含むが、これらに限定されるものではない。また、本発明のやけどは1度、2度、3度または4度のやけどであることができる。 In the present invention, a burn generally refers to a phenomenon in which skin cells are destroyed or necrotized by heat. For example, a burn due to a fire, a hot water burn caused by a hot liquid (water, oil, etc.), a hot object (an electric iron) Including, but not limited to, contact burns due to contact with rice cookers, chemical burns due to strong acids, strong alkalis, etc., other sunburns caused by strong ultraviolet rays in summer, and radiation burns due to radiation and X-ray exposure. . Also, the burns of the present invention can be 1 degree, 2 degree, 3 degree or 4 degree burns.
本発明による化学式1のテトラフルオロベンジル誘導体およびこれらの薬学的に許容可能な塩または溶媒和物は、これらのやけどによる損傷の治療または予防のために使用することができるが、上記やけどの具体的種類ややけどの程度(深刻度)に限定されるものではない。 The tetrafluorobenzyl derivative of formula 1 and the pharmaceutically acceptable salts or solvates thereof according to the present invention can be used for the treatment or prevention of damage caused by these burns. It is not limited to the type or degree of burn (severity).
本発明のテトラフルオロベンジル誘導体またはその薬学的に許容可能な塩は、米国特許第6,927,303号に開示された製造方法によって製造することができるが、本発明は、このような製造方法に限定されるものではない。 The tetrafluorobenzyl derivative of the present invention or a pharmaceutically acceptable salt thereof can be produced by the production method disclosed in US Pat. No. 6,927,303. It is not limited to.
本発明に係る化合物々にとって、いくつかの化合物は薬学的に許容可能な塩の形態で投与することができる。「薬学的に許容可能な塩」は、毒性がないか少ない酸または塩基で製造された塩を言う。本発明の化合物が相対的に酸性の場合、塩基(base)付加塩は十分な量の所望の塩基と適切な不活性(inert)溶媒によりその化合物の中性形態を接触して得ることができる。薬学的に許容可能な塩基付加塩は、リチウム、ナトリウム、カリウム、カルシウム、アンモニウム、マグネシウムまたは有機アミノで構成される塩を含むが、これらに限定されるものではない。本発明の化合物が相対的に塩基性である場合、酸(acid)付加塩は十分な量の所望の酸と適当な不活性溶媒によりその化合物の中性形態を接触して得ることができる。薬学的に許容可能な酸付加塩は、プロピオン酸、イソブチル酸、シュウ酸、リンゴ酸、マロン酸、安息香酸、コハク酸、スベリン酸(suberic)、フマル酸、マンデル酸、フタル酸、ベンゼンスルホン酸、p‐トリルスルホン酸、クエン酸、酒石酸、メタンスルホン酸、塩酸、ブロム酸、硝酸、炭酸、一水素炭酸(monohydrogencarbonicacid)、リン酸、一水素リン酸、二水素りん酸、硫酸、一水素硫酸、よう化水素、亜リン酸(phosphorousacid)などで形成された塩を含むが、これらに限定されるものではない。また、アルジネート(arginate)のようなアミノ酸の塩及びグルクロニック(glucuronic)またはガラクツロン(glactunoric)酸のような有機酸の類似塩を含むが、これらに限定されるものではない。 For the compounds according to the invention, some compounds can be administered in the form of pharmaceutically acceptable salts. “Pharmaceutically acceptable salt” refers to a salt prepared with an acid or base with little or no toxicity. When the compound of the present invention is relatively acidic, a base addition salt can be obtained by contacting the neutral form of the compound with a sufficient amount of the desired base with a suitable inert solvent. . Pharmaceutically acceptable base addition salts include, but are not limited to, salts composed of lithium, sodium, potassium, calcium, ammonium, magnesium, or organic amino. If the compound of the present invention is relatively basic, an acid addition salt can be obtained by contacting the neutral form of the compound with a sufficient amount of the desired acid with a suitable inert solvent. Pharmaceutically acceptable acid addition salts include propionic acid, isobutyric acid, oxalic acid, malic acid, malonic acid, benzoic acid, succinic acid, suberic acid, fumaric acid, mandelic acid, phthalic acid, benzenesulfonic acid , P-Tolylsulfonic acid, citric acid, tartaric acid, methanesulfonic acid, hydrochloric acid, bromic acid, nitric acid, carbonic acid, monohydrocarbonic acid, phosphoric acid, monohydrogenphosphoric acid, dihydrogenphosphoric acid, sulfuric acid, monohydrogensulfuric acid , Salts formed with hydrogen iodide, phosphorous acid, and the like, but are not limited thereto. Also included are, but are not limited to, salts of amino acids such as alginate and similar salts of organic acids such as glucuronic or galacturonic acid.
本発明はまた、上記化合物の溶媒和物、特に水和物の形態を含み、溶媒和された形態(例えば、水和物)だけでなく、非溶媒和(unsolvated)形も含む。また、本発明の上記化合物は、結晶形または無定形の形で存在し得、これらのすべての物理的形状は、本発明の範囲に含まれる。また、本発明の化合物は、化合物によって光学中心の不斉炭素原子または二重結合を有し得、ラセミ体、鏡像異性体(エナンチオマー)、ジアステレオマー(Diastereomer)、幾何異性体などが存在することができ、これらもまた、本発明の範囲に含まれる。 The present invention also includes solvates, particularly hydrate forms, of the above compounds, and includes not only solvated forms (eg, hydrates) but also unsolvated forms. The compounds of the invention may also exist in crystalline or amorphous form, and all these physical forms are included within the scope of the invention. In addition, the compound of the present invention may have an asymmetric carbon atom or double bond at the optical center depending on the compound, and there exist racemates, enantiomers (enantiomers), diastereomers, geometric isomers, and the like. These are also within the scope of the present invention.
本発明はまた、上記化合物またはその薬学的に許容可能な塩または溶媒和物及び薬剤学的に許容される賦形剤や添加剤を含む薬学的組成物を提供する。本発明の化合物またはその薬学的に許容可能な塩/溶媒和物は、単独で、あるいはいくつかの便利な担体、賦形剤などと一緒に混合して投与することができ、そのような投与剤形は、単回投与または反復投与剤形であることができる。 The present invention also provides a pharmaceutical composition comprising the above compound or a pharmaceutically acceptable salt or solvate thereof and a pharmaceutically acceptable excipient or additive. A compound of the present invention or a pharmaceutically acceptable salt / solvate thereof can be administered alone or in admixture with some convenient carriers, excipients, etc. The dosage form can be a single dose or a multiple dose dosage form.
本発明の薬学的組成物は、固形製剤または液状製剤であることができる。固形製剤は、散剤、顆粒剤、錠剤、カプセル剤、坐剤などがあるが、これらに限定されるものではない。固形製剤には、賦形剤、着香剤、結合剤、防腐剤、崩壊剤、滑沢剤、充填剤などが含まれることができるが、これらに限定されるものではない。液状製剤は、水、プロピレングリコール溶液のような溶液剤、懸濁液剤、乳剤などがあるが、これらに限定されるものではなく、適切な着色剤、着香剤、安定化剤、増粘剤などを添加して製造することができる。 The pharmaceutical composition of the present invention can be a solid preparation or a liquid preparation. Solid preparations include, but are not limited to, powders, granules, tablets, capsules, suppositories and the like. Solid formulations can include, but are not limited to, excipients, flavoring agents, binders, preservatives, disintegrants, lubricants, fillers, and the like. Liquid formulations include water, solutions such as propylene glycol solutions, suspensions, emulsions, etc., but are not limited to these, and appropriate colorants, flavoring agents, stabilizers, thickeners. Etc. can be added.
たとえば、散剤は、本発明のテトラフルオロベンジル誘導体化合物と、乳糖、デンプン、微結晶セルロース等の薬剤学的に許容される適当な賦形剤を、単純混合することにより製造することができる。顆粒剤は、本発明のテトラフルオロベンジル誘導体;薬剤学的に許容される適当な賦形剤、およびポリビニルピロリドン、ヒドロキシプロピルセルロース等の薬剤学的に許容される適当な結合剤を混合した後、水、エタノール、イソプロパノールなどの溶媒を用いた湿式造粒法または圧縮力を利用した乾式造粒法を用いて製造することができる。また、錠剤は、上記顆粒剤をステアリン酸マグネシウム等の薬剤学的に許容される適切な滑沢剤を混合した後、打錠機を用いて打錠することにより製造することができる。 For example, a powder can be produced by simply mixing the tetrafluorobenzyl derivative compound of the present invention and a suitable pharmaceutically acceptable excipient such as lactose, starch, microcrystalline cellulose and the like. The granule is prepared by mixing the tetrafluorobenzyl derivative of the present invention; a suitable pharmaceutically acceptable excipient, and a suitable pharmaceutically acceptable binder such as polyvinylpyrrolidone and hydroxypropylcellulose. It can be produced using a wet granulation method using a solvent such as water, ethanol, isopropanol, or a dry granulation method using a compressive force. A tablet can be produced by mixing the above granule with a suitable pharmaceutically acceptable lubricant such as magnesium stearate and then tableting using a tableting machine.
本発明の薬学的組成物は、治療すべき疾患、およびオブジェクトの状態に応じて経口剤、注射剤(例えば、筋肉内注射、腹腔内注射、静脈内注射、注入(infusion)、皮下注射、インプラント)、吸入剤、点鼻剤、膣に適用する製剤、直腸に適用する製剤、舌下錠、経皮製剤、局所用製剤などで投与されることができるが、これらに限定されるものではない。投与経路によって通常使用され、非毒性の、薬剤学的に許容される担体、添加剤、ビークルを含む適切な投与単位剤形に製剤化することができる。一定時間薬物を持続的に放出できるデポー(depot)剤形もまた本発明の範囲に含まれる。 The pharmaceutical composition of the present invention can be used as an oral preparation, injection (for example, intramuscular injection, intraperitoneal injection, intravenous injection, infusion, subcutaneous injection, implant depending on the disease to be treated and the condition of the object. ), Inhalants, nasal drops, preparations applied to the vagina, preparations applied to the rectum, sublingual tablets, transdermal preparations, topical preparations, etc., but are not limited thereto . Depending on the route of administration, it can be formulated into a suitable dosage unit form, including non-toxic, pharmaceutically acceptable carriers, additives, and vehicles. Depot dosage forms that are capable of sustained drug release for a period of time are also within the scope of the present invention.
本発明はまた、上記の化学式1の化合物、その薬学的に許容可能な塩または溶媒和物の治療学的に有効な量のやけどによる損傷の治療や予防が必要なオブジェクトに投与することを含むやけどによる損傷の治療または予防方法を提供する。 The invention also includes administering a therapeutically effective amount of a compound of Formula 1 above, a pharmaceutically acceptable salt or solvate thereof to an object in need of treatment or prevention of burn injury. Provide a way to treat or prevent burn injury.
やけどによる損傷の治療のための使用において、本発明の化合物またはその薬学的に許容可能な塩または溶媒和物は、毎日約0.1mg/kgないし約1000mg/kgを投与することができ、約2.5mg/kgないし約500mg/kgの1日投与量が望ましい。しかし、上記投与量は患者の状態(年齢、性別、体重など)、治療している状態の深刻度、使用された化合物などによって変わり得る。必要に応じて、利便性のために1日の総投与量を分け、一日複数回に分けて投与することができる。 In use for the treatment of burn injury, the compounds of the invention or pharmaceutically acceptable salts or solvates thereof can be administered from about 0.1 mg / kg to about 1000 mg / kg daily, A daily dose of 2.5 mg / kg to about 500 mg / kg is desirable. However, the dosage may vary depending on the patient's condition (age, sex, weight, etc.), the severity of the condition being treated, the compound used, etc. If necessary, the total daily dose can be divided for convenience and divided into multiple doses per day.
本発明は、上記化学式1の化合物、その薬学的に許容可能な塩または溶媒和物を有効成分として含むことを特徴とするやけどによる損傷の治療や予防に有用な薬学的組成物を提供する。本発明は、また、上記化学式1の化合物、その薬学的に許容可能な塩、または溶媒和物のやけどによる損傷の治療や予防に対する用途を提供する。本発明は、また、上記化学式1の化合物、薬学的に許容可能な塩または溶媒和物の治療学的に有効な量をやけどによる損傷の治療や予防が必要なオブジェクトに投与することを含むやけどによる損傷の治療または予防方法を提供する。 The present invention provides a pharmaceutical composition useful for the treatment and prevention of burn injury characterized by comprising as an active ingredient the compound of Formula 1 above, a pharmaceutically acceptable salt or solvate thereof. The present invention also provides use of the compound of Formula 1 above, a pharmaceutically acceptable salt thereof, or a solvate for the treatment and prevention of burn injury. The present invention also includes administering a therapeutically effective amount of a compound of formula 1 above, a pharmaceutically acceptable salt or solvate to an object in need of treatment or prevention of burn injury. To provide a method for the treatment or prevention of damage caused by
以下、本発明の理解を助けるために実施例などを挙げて詳細に説明することにする。しかし、本発明による実施例は、さまざまな形に変形されることができ、本発明の範囲が下記の実施例に限定されるものと解釈されてはならない。本発明の実施例は、当業界で平均的な知識を持った者に本発明をより完全に説明するために提供されるものである。 Hereinafter, in order to help understanding of the present invention, examples will be described in detail. However, the embodiments according to the present invention can be modified in various forms, and the scope of the present invention should not be construed to be limited to the following embodiments. Rather, these embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the concept of the invention to those skilled in the art.
<実施例1>接触による熱傷に対する治療効果
2‐hydroxy‐TTBAのやけどに対する治療効果を検証するために、沸騰したお湯(100℃維持)で3分間予熱した青銅製の櫛(brass comb)を使用して、30秒の間、ラットの背中皮膚の両側に接触によるに熱傷を誘発した。5分後に2‐hydroxy‐TTBA 10mg/5ml/kgを5分にかけて静脈内注射(intravenous injection)した。その後、1日2回(10〜12時間の間隔で)、全部で7日間、同じように投与を継続した。ビークル(Vehicle)投与群では薬物のみが含まれていない同量の生理食塩水のみを同様に投与した。実験グループ(Grouping of Rats for Burn experiments)は、下記の表1のとおりである。
<Example 1> Therapeutic effect on burns caused by contact In order to verify the therapeutic effect of 2-hydroxy-TTBA on burns, a bronze comb preheated with boiling water (maintained at 100 ° C) for 3 minutes was used. Then, burns were induced by contact on both sides of the rat's back skin for 30 seconds. Five minutes later, 2-hydroxy-TTBA 10 mg / 5 ml / kg was intravenously injected over 5 minutes. Thereafter, the administration was continued in the same manner twice a day (at intervals of 10 to 12 hours) for a total of 7 days. In the vehicle administration group, only the same amount of physiological saline containing no drug was administered in the same manner. The experimental groups (Grouping of Rats for Burn experiments) are as shown in Table 1 below.
上記の表1に、結果分析時の比較のために、正常対照群の動物数と各グループの実験動物数、およびやけどの損傷後、7日内に死亡した個体数を示した。やけどの損傷後、何も処理していないやけど対照群では2匹のラットがそれぞれ5日と7日目に死亡し、他の実験群では全て生存している。 Table 1 above shows the number of animals in the normal control group, the number of experimental animals in each group, and the number of individuals who died within 7 days after burn injury for comparison at the time of analysis of results. After the burn injury, two rats in the untreated burn control group died on days 5 and 7, respectively, and all the other experimental groups are all alive.
〔血液化学検査による血清中の乳酸脱水素酵素(lactate dehydrogenase)の測定〕
乳酸脱水素酵素(lactate dehydrogenase;LDH)は、ほぼすべての組織に分布している酵素としてピルビン酸(pyruvic acid)と乳酸(lactic acid)との間の可逆的転換に関与して触媒作用をする。組織や細胞が破壊されるときは、血液中に流れ出て、血中のLDHが上昇すると知られている。このため、検査の妨げになる可能性がある溶血した検体を除いた血清から、各グループ間のLDH量を調査した。その結果を図1に示した。
[Measurement of lactate dehydrogenase in serum by blood chemistry test]
Lactate dehydrogenase (LDH) is an enzyme that is distributed in almost all tissues and catalyzes the reversible conversion between pyruvic acid and lactic acid. . It is known that when tissues and cells are destroyed, they flow into the blood and LDH in the blood rises. For this reason, the amount of LDH between each group was investigated from the serum excluding the hemolyzed specimen that might interfere with the test. The results are shown in FIG.
図1に表示されるように、やけど対照群は正常対照群に比べてLDHが約2倍に増加し、2‐hydroxy‐TTBA投与群ではLDHがやけど対照群に比べ有意義に減少した。 As shown in FIG. 1, in the burn control group, LDH increased about 2-fold compared to the normal control group, and LDH significantly decreased in the 2-hydroxy-TTBA administration group compared to the burn control group.
〔やけどの後、背中の皮膚変化の観察(Appearance of burns 7 days after injury in experimental groups)〕
図2は、やけどの損傷後、7日目の背中の皮膚を観察した写真である。実験群のラットの背中の両側に予熱した青銅製の櫛(Brass comb)を使用して、4つの10×20mmの大きさの長方形に皮膚の全層火傷を誘導した。誘導後、2時間目には、背中の皮膚の両側に黒ずんでいる青白い色の4つの凝固帯(zone of coagulation or zone of tissue necrosis)と3つの停滞帯(zone of stasis or zone of tissue injury)が発生した。凝固帯は不可逆的な細胞の損傷部位であって、時間が経っても回復が不能であり、停滞帯は24〜48時間内に特別な処置がなければ細胞の壊死が進行する部位であって、持続的なフィブリン沈着、血管収縮、血栓などで虚血が発生し、細胞を死なせる部位である。
[Appearance of burns 7 days after injury in experimental groups]
FIG. 2 is a photograph of the skin on the back on the seventh day after burn injury. Full thickness skin burns were induced in four 10 × 20 mm rectangles using a bronze comb preheated on both sides of the back of the rats of the experimental group. Two hours after induction, four pale-colored coagulation zones (zone of cohesion or zone of tissue necrosis) and three stagnation zones (zone of stasis of zone of injury) There has occurred. The coagulation zone is an irreversible cell damage site that cannot be recovered over time, and the stagnation zone is a site where cell necrosis progresses without any special treatment within 24-48 hours. It is a site where ischemia occurs due to continuous fibrin deposition, vasoconstriction, thrombus, etc. and cells can die.
したがって、本実験では、薬効の探索のために、創傷の転換部位である停滞帯の中でラット一匹のオブジェクトで発生する総6つの部位のうち、薬剤投与のためにベスト(vest)を着用しているところに近い頭の方を除いた残りの4つの部位(図の点線で示されている長方形の部分)について分析した。 Therefore, in this experiment, in order to search for drug efficacy, the vest was worn for drug administration out of a total of 6 sites generated by one rat object in the stagnant zone, which is a wound conversion site. The remaining four parts (the rectangular part shown by the dotted line in the figure) except for the head near the place where it was being analyzed were analyzed.
図2の写真の結果と同様に、やけどの損傷後に何の処置もしていないやけど対照群の場合、停滞帯に痂皮が形成され創傷になったり、傷が分離され、皮膚の脱落が観察されたりした。ビークルと2‐hydroxy‐TTBA投与群では、かさぶたのような痂皮の形成が相対的に稀に発生し、特に2‐hydroxy‐TTBA投与群では、肉眼で観察しても毛が伸びるなど、良好な皮膚の状態に回復された。 Similar to the results in the photograph in Fig. 2, in the burn control group, where no treatment was performed after the burn injury, scabs formed in the stagnation zone and became wounds, and the wounds were separated, and skin loss was observed. I did. Scab formation such as scab occurs relatively rarely in the vehicle and 2-hydroxy-TTBA administration group, especially in the 2-hydroxy-TTBA administration group, the hair grows even when observed with the naked eye. The skin condition was restored.
〔やけどから痂皮の生成と皮膚の上皮層の再生観察(Histological Appearance of Eschar Formation and Wound Epidermis Formation)〕
図3は、グループ別に分析組織の部位をヘマトキシリン・エオシン染色し、上皮層の状態を比較した結果である。図3に示すように、正常対照群で観察される健康な毛包を含めて正しく配列された通常の上皮層(矢印で表示された部分)とは違って、やけど対照群では、痂皮を形成し、炎症細胞を除いては、正常な上皮細胞が観察されておらず、ビークル投与群と2‐hydroxy‐TTBA投与群では上皮層の再生が進んでいることが確認できた。このとき、通常の上皮層の厚さ以上に、上皮増殖(Hyperplasia of epidermis)が起きた場合も観察することができた。このような現象を、グループごとに合計28個の組織の部位を分析し、(グループごとに7匹ずつの4カ所の停滞帯の部位)痂皮の形成と上皮層の再生頻度を測定した結果、やけど群で発生した約93%の創傷転換頻度は、ビークル投与群と2‐hydroxy‐TTBA投与群でそれぞれ約18%と4%程度に低下した。また、再生上皮層が観察される場合にも、やけど対照群と比較して、それぞれ約32%と71%に増加した。その結果を下記の表2(Histological appearance:痂皮の形成と上皮層の再生頻度)に示した。
[Histological Appearance of Escher Formation and Wound Epidermis Formation]
FIG. 3 shows the results of comparison of the state of the epithelial layer by staining the analysis tissue site with hematoxylin and eosin for each group. As shown in FIG. 3, unlike the normal epithelial layer (indicated by the arrow) correctly aligned with healthy hair follicles observed in the normal control group, As a result, normal epithelial cells were not observed except for inflammatory cells, and it was confirmed that regeneration of the epithelial layer was advanced in the vehicle administration group and the 2-hydroxy-TTBA administration group. At this time, even when epithelial proliferation (Hyperplasma of epidermis) occurred more than the thickness of the normal epithelial layer, it could be observed. As a result of analyzing such a phenomenon, a total of 28 tissue sites for each group (4 stagnant sites of 7 mice per group) were measured for the formation of crust and the frequency of epithelial layer regeneration. The frequency of wound conversion of about 93% in the burn group decreased to about 18% and 4% in the vehicle administration group and the 2-hydroxy-TTBA administration group, respectively. Also, when the regenerative epithelial layer was observed, it increased to about 32% and 71%, respectively, compared with the burn control group. The results are shown in Table 2 below (Histological appearance: scab formation and epithelial layer regeneration frequency).
〔ヘマトキシリン・エオシン染色による皮膚全層の組織学的観察(Histology of Full Thickness Skin stained by Hematoxylin and Eosin)〕
図4は、ヘマトキシリン・エオシン染色を使って停滞帯の皮膚全層組織の状態を10倍率の顕微鏡で観察した写真である。やけど対照群では上皮層、真皮層、皮下組織や筋肉層まで全層にわたって損傷されていることが分かり、痂皮を形成し、その下に炎症細胞が浸潤しており、皮下組織と筋肉の間で多数の炎症細胞が存在していることを観察することができた。ビークル投与群は、かさぶたのような痂皮を形成していないが、相当量の炎症細胞が全皮膚組織や皮下組織にかけて観察され、再生される上皮層の下にまだ多くの炎症細胞が浸潤していた。2‐hydroxy‐TTBA投与群では筋細胞や皮下組織層の部位を除いては、炎症細胞の浸潤がかなり抑えられていることがわり、上皮の再生はもちろん、毛包や皮脂腺、筋肉層においても、保護効果が認められた。
[Histology of Full Tickness Stained by Hematoxylin and Eosin]
FIG. 4 is a photograph of the state of the full-thickness skin tissue in the stagnant band observed with a 10 × microscope using hematoxylin and eosin staining. In the burn control group, it was found that all layers of the epithelial layer, dermis layer, subcutaneous tissue and muscle layer were damaged, forming a scab and infiltrating inflammatory cells underneath, between the subcutaneous tissue and muscle. It was possible to observe the presence of many inflammatory cells. The vehicle-administered group did not form a scab-like scab, but a considerable amount of inflammatory cells were observed in the whole skin and subcutaneous tissues, and many inflammatory cells still infiltrated under the regenerated epithelial layer It was. In the 2-hydroxy-TTBA administration group, the infiltration of inflammatory cells is considerably suppressed except for the site of muscle cells and subcutaneous tissue layers. In addition to epithelial regeneration, in hair follicles, sebaceous glands, and muscle layers, A protective effect was observed.
〔クレシルバイオレットによる皮膚全層の組織学的観察(Histology of Full thickness skin stained by Cresyl Violet)〕
図5は、クレシルバイオレット染色を介して停滞帯組織の生きた細胞を10倍率の顕微鏡で観察した写真である。やけど対照群とビークル投与群では、毛包がほとんど観察されておらず、大量の炎症細胞が皮膚の全層に渡って観察される一方、2‐hydroxy‐TTBA投与群では生きている毛包と上皮層が観察され、相対的に炎症性細胞は少なく観察された。
[Histology of Full Thickness Stained by Cresyl Violet]
FIG. 5 is a photograph of living cells of stagnant tissue observed with a 10 × microscope through cresyl violet staining. In the burn control group and the vehicle-administered group, almost no hair follicles were observed, and a large amount of inflammatory cells were observed throughout the skin, whereas in the 2-hydroxy-TTBA-administered group, An epithelial layer was observed, and relatively few inflammatory cells were observed.
〔Masson’s trichrom染色による皮膚全層の組織学的観察(Histology of Full Thickness Skin stained by Masson’s trichrom)〕
図6は、Masson’s trichrom染色を通じて停滞帯皮膚組織のコラーゲンと筋線維を観察した顕微鏡写真の結果である。正常対照群では、青色のコラーゲンは、真皮層全体に均一に分布して筋線維が赤色に染色されたが、やけど対照群では、痂皮の下にコラーゲンが不規則に沈着しており、その染色程度も、通常に比べて相対的に弱かった。筋線維もほとんど損傷を受けて染色されなかった。ビークル投与群では、他のグループに比べて相対的にコラーゲンの量が最も多く観察され、これは正常対照群に比べても非常に高い水準だった。また、筋線維は損傷を受けて染色されなかったり、または、相当量の出血と炎症細胞の浸潤を伴っていることが観察された。しかし、2‐hydroxy‐TTBA投与群では正常対照群と同様に上皮層、真皮層、皮下脂肪、筋肉層に区分されて現れ、生きている毛包の周囲にコラーゲンが均等に分布しており筋線維もまた、赤く染色されて現れた。
[Histology of Full Tickness Stained by Masson's trichrome] [Histology of Full Tickness Stained by Masson's trichrom]
FIG. 6 shows the results of micrographs in which collagen and myofibers in stagnant skin tissue were observed through Masson's trichrome staining. In the normal control group, the blue collagen was evenly distributed throughout the dermis layer and the muscle fibers were stained red.In the burn control group, the collagen was irregularly deposited under the scab. The degree of staining was also relatively weak compared to normal. Myofibers were also hardly damaged and stained. In the vehicle-treated group, the highest amount of collagen was observed compared to the other groups, which was very high compared to the normal control group. It was also observed that the muscle fibers were damaged and not stained, or were accompanied by significant amounts of bleeding and inflammatory cell infiltration. However, in the 2-hydroxy-TTBA administration group, as in the normal control group, it appears divided into the epithelial layer, dermis layer, subcutaneous fat, and muscle layer, and collagen is evenly distributed around the living hair follicle. The fibers also appeared red stained.
Claims (6)
6. The tetrafluorobenzyl derivative according to claim 5, which is 2-hydroxy-5- (2,3,5,6-tetrafluoro-4-trifluoromethyl-benzylamino) -benzoic acid. Method.
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US5013540A (en) * | 1989-11-30 | 1991-05-07 | Board Of Regents, The University Of Texas System | Using NMDA receptor antagonists to reduce damage due to laser treatment |
JP2002322092A (en) * | 2000-10-02 | 2002-11-08 | Pfizer Prod Inc | Prophylactic use of n-methyl-d-aspartic acid(nmda) antagonist |
JP2005529972A (en) * | 2002-06-19 | 2005-10-06 | ニューロテック カンパニー リミテッド | Tetrafluorobenzyl derivative and pharmaceutical composition for prevention and treatment of acute and degenerative cranial nervous system diseases containing the same |
JP2005539072A (en) * | 2002-09-18 | 2005-12-22 | イエリニ・アクチェンゲゼルシャフト | Novel compounds and their use for the inhibition of rotamases |
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US5013540A (en) * | 1989-11-30 | 1991-05-07 | Board Of Regents, The University Of Texas System | Using NMDA receptor antagonists to reduce damage due to laser treatment |
JP2002322092A (en) * | 2000-10-02 | 2002-11-08 | Pfizer Prod Inc | Prophylactic use of n-methyl-d-aspartic acid(nmda) antagonist |
JP2005529972A (en) * | 2002-06-19 | 2005-10-06 | ニューロテック カンパニー リミテッド | Tetrafluorobenzyl derivative and pharmaceutical composition for prevention and treatment of acute and degenerative cranial nervous system diseases containing the same |
JP2005539072A (en) * | 2002-09-18 | 2005-12-22 | イエリニ・アクチェンゲゼルシャフト | Novel compounds and their use for the inhibition of rotamases |
JP2007512226A (en) * | 2003-08-07 | 2007-05-17 | ヒーラー リミテッド | Pharmaceutical composition and method for promoting wound healing |
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